Monthly Routine Expense/Work Detail Statement

Consumer Healthcare Expense Format - RSM / TSI /TSO / ISR

Head
Emp Code: 2282416 Reporting Manager: CHARLY VINOTH KRISHNAGIRI
Quarter :
Emp Name: A. EKAMBARAM Reporting Manager No.: 9994117118 Month : May-24
Designation: ISR Reporting Manager Desg.: TSI
Work Type
Hotel Stay Out
Date (HQ/OS/Ex- Places of Travel KM's Fare Amount Food Mobile Internet Others Total Amount Remark
Station Allowence
Station)
From To Mode of Travel
1-May-24 HOLIDAY
2-May-24 HQ KRISHNAGIRI Krishnagiri Own Vehicle
3-May-24 Ex-Station KRISHNAGIRI barugur orappam varattanapalli achamangalam x road Own Vehicle 140 490 490
4-May-24 Ex-Station KRISHNAGIRI sundekuppam paiyur sappanipatti Kaveipattinam Own Vehicle 100 350 350
5-May-24 SUNDAY Sunday
6-May-24 Ex-Station KRISHNAGIRI hosur Own Vehicle 120 420 420
7-May-24 Ex-Station KRISHNAGIRI shoolagiri bagalur berigai Own Vehicle 180 630 630
8-May-24 Ex-Station KRISHNAGIRI hosur Own Vehicle 120 420 420
9-May-24 Ex-Station KRISHNAGIRI uddanapalli balathottnapalli denkanikottai Own Vehicle 180 630 630
10-May-24 Ex-Station KRISHNAGIRI kurubarapalli kundarapalli theertham veppanapalli Own Vehicle 160 560 560
11-May-24 Ex-Station KRISHNAGIRI rayakottai kadusettipatti panchapalli marandahalli Own Vehicle 160 560 560
12-May-24 SUNDAY Sunday
13-May-24 Ex-Station KRISHNAGIRI amballi karapattu Uthangarai mathur Own Vehicle 160 560 560
14-May-24 Ex-Station KRISHNAGIRI thalihalli velampatti sellampatti agaram Own Vehicle 140 490 490
15-May-24 LEAVE leave
16-May-24 Ex-Station KRISHNAGIRI palacode vellisandai periyanahalli Own Vehicle 120 420 420
17-May-24 HQ KRISHNAGIRI Krishnagiri Own Vehicle
18-May-24 Ex-Station KRISHNAGIRI madepatti alapatti jinjupalli peyanapalli Own Vehicle 140 490 490
19-May-24 SUNDAY Sunday
20-May-24 Ex-Station KRISHNAGIRI sundekuppam paiyur sappanipatti kaveipattinam Own Vehicle 100 350 350
21-May-24 Ex-Station KRISHNAGIRI bagalur berigai athimugam chinnar Own Vehicle 180 630 630
22-May-24 Ex-Station KRISHNAGIRI hosur Own Vehicle 120 420 420
23-May-24 Ex-Station KRISHNAGIRI uddanapalli kelamangalam andevanapalli Own Vehicle 180 630 630
24-May-24 HQ KRISHNAGIRI Krishnagiri Own Vehicle
25-May-24 Ex-Station KRISHNAGIRI barugur orappam varattanapalli achamangalam Own Vehicle 140 490 490
26-May-24 SUNDAY Sunday
27-May-24 LEAVE leave
28-May-24 Ex-Station KRISHNAGIRI paiyur sundekuppam sappanipatti kaveripattinam Own Vehicle 100 350 350
29-May-24 Ex-Station KRISHNAGIRI thogarapalli santhur pochampalli mathur Own Vehicle 160 560 560
30-May-24 Ex-Station KRISHNAGIRI paiyur sappanipatti thippampatti karimangalam Own Vehicle 140 490 490
31-May-24 HQ KRISHNAGIRI Krishnagiri Own Vehicle

Total - - - - 2,840.00 9,940.00 9,940

By signing this document , I agree that I have reviewed this document and acknlowge the reimbursements claimed on this sheet by Team member
Signature
Name of RSM/ZSM of
RSM/ZSM

Note : (1) Kindly, fill work details for all the days in above Exp statement. On any day, if you have not incurred any expenses, then also, just mention the Work Place / Travel details / Leave.
(2) In case, you have not worked on any particular day like Sunday or Holiday, then just mention as Sunday or Holiday.
(3) please ensure to send approved hard copy of the Exp Statement to Mumbai Central office with all the supporting & approved soft copy of Exp Statement to expchl@cipla.com
(4) please ensure, all the details of hard copy & soft copy of exp statement should be same.